Comparison Between Pars Plana Vitrectomy with and without Encircling Band in the Treatment of Pediatric Traumatic Rhegmatogenous Retinal Detachment

Hammouda Hamdy Ghoraba,1,2 Hosam Othman Mansour,1,3 Mohamed Ahmed Abdelhafez,1 Sameh Mohamed El Gouhary,4 Adel Galal Zaky,4 Mohamed Amin Heikal,5 Ali Ahmed Ali Ghali3 1Magrabi Eye Hospital, Tanta, Egypt; 2Tanta University, Tanta, Egypt; 3Al Azhar University, Damietta Branch, New Damietta, Egypt; 4Me...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ghoraba HH, Mansour HO, Abdelhafez MA, El Gouhary SM, Zaky AG, Heikal MA, Ghali AAA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	trauma pediatric retinal detachment encircling band pars plana vitrectomy silicon oil. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/5cbfc74c1cc64742a871c99c7490c490
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:5cbfc74c1cc64742a871c99c7490c490
record_format	dspace
spelling	oai:doaj.org-article:5cbfc74c1cc64742a871c99c7490c4902021-12-02T04:01:53ZComparison Between Pars Plana Vitrectomy with and without Encircling Band in the Treatment of Pediatric Traumatic Rhegmatogenous Retinal Detachment1177-5483https://doaj.org/article/5cbfc74c1cc64742a871c99c7490c4902020-10-01T00:00:00Zhttps://www.dovepress.com/comparison-between-pars-plana-vitrectomy-with-and-without-encircling-b-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Hammouda Hamdy Ghoraba,1,2 Hosam Othman Mansour,1,3 Mohamed Ahmed Abdelhafez,1 Sameh Mohamed El Gouhary,4 Adel Galal Zaky,4 Mohamed Amin Heikal,5 Ali Ahmed Ali Ghali3 1Magrabi Eye Hospital, Tanta, Egypt; 2Tanta University, Tanta, Egypt; 3Al Azhar University, Damietta Branch, New Damietta, Egypt; 4Meunofia University, Meunofia, Egypt; 5Benha University, Benha, EgyptCorrespondence: Hosam Othman MansourAl Azhar University, Damietta Branch, New Damietta, EgyptTel +201001559282Email drhmansor@yahoo.comBackground and Objectives: To compare anatomical and visual results of pars plana vitrectomy (PPV) with or without additional encircling band in the management of pediatric traumatic rhegmatogenous retinal detachment (RD) in a tertiary referral center.Methods: A retrospective review of children diagnosed with traumatic rhegmatogenous retinal detachment treated by pars plana vitrectomy with or without encircling band.Results: One hundred thirty-nine eyes of 139 children diagnosed with traumatic rhegmatogenous retinal detachment. Surgeries were performed between May 2011 and November 2016. Patients were followed up for at least 18 months after last intervention. The included eyes were categorized into two groups. Group A (vitrectomy with additional encircling band) included 72 eyes of 72 children; 58 boys and 14 girls. Group B (vitrectomy without encircling band) included 67 eyes of 67 children; 58 boys and 9 girls. In group A, the mean age was 9.21± 3.24. Attached retina was achieved in 61% (44 out of 72 eyes), of which 34 eyes remained attached after silicon oil removal, and 10 eyes remained attached under silicon oil tamponade. Recurrent RD under oil was present in 28 eyes (38.9%). In group B, the mean age was 11.06± 3.64. Attached retina was present in 61.2% (41 out of 67 eyes), of which 30 eyes remained attached after oil removal, and 11 eyes remained attached under silicon oil tamponade. Recurrent RD was present in 26 eyes (38.8%). In group A, the final visual acuity (VA) ranged from NLP to 0.5; 58.7% of patients achieved VA more than counting fingers at 1 meter, and 34.6% of patients achieved VA of 0.05 or more. In group B, the final postoperative VA ranged from NLP to 0.9; 16% of patients achieved VA from counting fingers at 1 meter to 0.05, and 29.2% achieved VA of 0.05 or more.Conclusion: Although no statistically significant difference between the two groups (combined vitrectomy and encircling band versus vitrectomy alone in pediatric traumatic retinal detachment), it is wise to consider adding encircling band in severe trauma cases.Keywords: trauma, pediatric retinal detachment, encircling band, pars plana vitrectomy, silicon oilGhoraba HHMansour HOAbdelhafez MAEl Gouhary SMZaky AGHeikal MAGhali AAADove Medical Pressarticletraumapediatric retinal detachmentencircling bandpars plana vitrectomysilicon oil.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 3271-3277 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	trauma pediatric retinal detachment encircling band pars plana vitrectomy silicon oil. Ophthalmology RE1-994
spellingShingle	trauma pediatric retinal detachment encircling band pars plana vitrectomy silicon oil. Ophthalmology RE1-994 Ghoraba HH Mansour HO Abdelhafez MA El Gouhary SM Zaky AG Heikal MA Ghali AAA Comparison Between Pars Plana Vitrectomy with and without Encircling Band in the Treatment of Pediatric Traumatic Rhegmatogenous Retinal Detachment
description	Hammouda Hamdy Ghoraba,1,2 Hosam Othman Mansour,1,3 Mohamed Ahmed Abdelhafez,1 Sameh Mohamed El Gouhary,4 Adel Galal Zaky,4 Mohamed Amin Heikal,5 Ali Ahmed Ali Ghali3 1Magrabi Eye Hospital, Tanta, Egypt; 2Tanta University, Tanta, Egypt; 3Al Azhar University, Damietta Branch, New Damietta, Egypt; 4Meunofia University, Meunofia, Egypt; 5Benha University, Benha, EgyptCorrespondence: Hosam Othman MansourAl Azhar University, Damietta Branch, New Damietta, EgyptTel +201001559282Email drhmansor@yahoo.comBackground and Objectives: To compare anatomical and visual results of pars plana vitrectomy (PPV) with or without additional encircling band in the management of pediatric traumatic rhegmatogenous retinal detachment (RD) in a tertiary referral center.Methods: A retrospective review of children diagnosed with traumatic rhegmatogenous retinal detachment treated by pars plana vitrectomy with or without encircling band.Results: One hundred thirty-nine eyes of 139 children diagnosed with traumatic rhegmatogenous retinal detachment. Surgeries were performed between May 2011 and November 2016. Patients were followed up for at least 18 months after last intervention. The included eyes were categorized into two groups. Group A (vitrectomy with additional encircling band) included 72 eyes of 72 children; 58 boys and 14 girls. Group B (vitrectomy without encircling band) included 67 eyes of 67 children; 58 boys and 9 girls. In group A, the mean age was 9.21± 3.24. Attached retina was achieved in 61% (44 out of 72 eyes), of which 34 eyes remained attached after silicon oil removal, and 10 eyes remained attached under silicon oil tamponade. Recurrent RD under oil was present in 28 eyes (38.9%). In group B, the mean age was 11.06± 3.64. Attached retina was present in 61.2% (41 out of 67 eyes), of which 30 eyes remained attached after oil removal, and 11 eyes remained attached under silicon oil tamponade. Recurrent RD was present in 26 eyes (38.8%). In group A, the final visual acuity (VA) ranged from NLP to 0.5; 58.7% of patients achieved VA more than counting fingers at 1 meter, and 34.6% of patients achieved VA of 0.05 or more. In group B, the final postoperative VA ranged from NLP to 0.9; 16% of patients achieved VA from counting fingers at 1 meter to 0.05, and 29.2% achieved VA of 0.05 or more.Conclusion: Although no statistically significant difference between the two groups (combined vitrectomy and encircling band versus vitrectomy alone in pediatric traumatic retinal detachment), it is wise to consider adding encircling band in severe trauma cases.Keywords: trauma, pediatric retinal detachment, encircling band, pars plana vitrectomy, silicon oil
format	article
author	Ghoraba HH Mansour HO Abdelhafez MA El Gouhary SM Zaky AG Heikal MA Ghali AAA
author_facet	Ghoraba HH Mansour HO Abdelhafez MA El Gouhary SM Zaky AG Heikal MA Ghali AAA
author_sort	Ghoraba HH
title	Comparison Between Pars Plana Vitrectomy with and without Encircling Band in the Treatment of Pediatric Traumatic Rhegmatogenous Retinal Detachment
title_short	Comparison Between Pars Plana Vitrectomy with and without Encircling Band in the Treatment of Pediatric Traumatic Rhegmatogenous Retinal Detachment
title_full	Comparison Between Pars Plana Vitrectomy with and without Encircling Band in the Treatment of Pediatric Traumatic Rhegmatogenous Retinal Detachment
title_fullStr	Comparison Between Pars Plana Vitrectomy with and without Encircling Band in the Treatment of Pediatric Traumatic Rhegmatogenous Retinal Detachment
title_full_unstemmed	Comparison Between Pars Plana Vitrectomy with and without Encircling Band in the Treatment of Pediatric Traumatic Rhegmatogenous Retinal Detachment
title_sort	comparison between pars plana vitrectomy with and without encircling band in the treatment of pediatric traumatic rhegmatogenous retinal detachment
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/5cbfc74c1cc64742a871c99c7490c490
work_keys_str_mv	AT ghorabahh comparisonbetweenparsplanavitrectomywithandwithoutencirclingbandinthetreatmentofpediatrictraumaticrhegmatogenousretinaldetachment AT mansourho comparisonbetweenparsplanavitrectomywithandwithoutencirclingbandinthetreatmentofpediatrictraumaticrhegmatogenousretinaldetachment AT abdelhafezma comparisonbetweenparsplanavitrectomywithandwithoutencirclingbandinthetreatmentofpediatrictraumaticrhegmatogenousretinaldetachment AT elgouharysm comparisonbetweenparsplanavitrectomywithandwithoutencirclingbandinthetreatmentofpediatrictraumaticrhegmatogenousretinaldetachment AT zakyag comparisonbetweenparsplanavitrectomywithandwithoutencirclingbandinthetreatmentofpediatrictraumaticrhegmatogenousretinaldetachment AT heikalma comparisonbetweenparsplanavitrectomywithandwithoutencirclingbandinthetreatmentofpediatrictraumaticrhegmatogenousretinaldetachment AT ghaliaaa comparisonbetweenparsplanavitrectomywithandwithoutencirclingbandinthetreatmentofpediatrictraumaticrhegmatogenousretinaldetachment
_version_	1718401488840032256

Comparison Between Pars Plana Vitrectomy with and without Encircling Band in the Treatment of Pediatric Traumatic Rhegmatogenous Retinal Detachment

Ejemplares similares